LUCENA 2 LLC

COLUMBIA, MO
NPI1740155399
Entity TypeOrganization
Authorized ContactLESLIE DESHA
Nurse Practitioner
573-690-3976
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2025-10-06
Last Update Date2025-10-06
Business Address
LUCENA 2 LLC
1000 W NIFONG BLVD BLDG 2 SUITE 120 ROOM 2
COLUMBIA, MO 65203-5615
Phone number: 573-444-6331
Mailing Address
LUCENA 2 LLC
1109 PHEASANT RUN
COLUMBIA, MO 65201-6253
Phone number: